Person: İRDESEL, FATMA JALE
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İRDESEL
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FATMA JALE
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Publication Evaluation of osteoporosis and osteoporotic fracture risk in men: A retrospective study(Galenos Yayincilik, 2022-04-01) Ertem, Ugur; İrdesel, Fatma Jale; İRDESEL, FATMA JALE; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Anabilim Dalı.; 0000-0003-2142-2264; 0000-0002-1456-9121; AAD-2089-2021Objective: Osteoporotic fractures can cause important consequences in terms of public health in men and women. In this study, It is aimed to determine the frequency of osteoporosis (OP) and osteoporotic fractures in men and the risk factors that may cause osteoporotic fractures.Materials and Methods: Men over the age of 65 years who were admitted to physical medicine and rehabilitation outpatient clinic with musculoskeletal system pain between 15 March 2021 and 15 September 2021 was included in the study retrospectively. A total of 90 patients were included in this study. Data regarding 25-hydroxyvitamin D-3 [25-(OH)D-3] levels, body mass index (BMI), age, bone mineral density (BMD) T-scores, smoking and alcohol using status were recorded.Results: The median age of the participants was 71 (66-89) years. Osteoporotic fractures were found in 14 patients (15.5%). Osteoporotic fractures were more common in the vertebral region (71.4%). The patients were divided into the following two groups: group 1 (with osteoporotic fracture) and group 2 (without osteoporotic fracture). Regression analysis revealed that age, and BMI associated with osteoporotic fractures (p<0.05). In contrast, no correlation was found between osteoporotic fracture formation and 25-(OH)D-3 levels, BMD T-scores, smoking, and use of alcohol (p>0.05).Conclusion: OP and osteoporotic fracture formation is a common public health problem in men and women. Because of the negative effects of osteoporotic fractures on society and individuals, it is important to know the risk factors and take precautions against them.Publication Youtube as a source of information on piriformis syndrome exercises(Bayçınar Tıbbı Yayıncılık, 2023-01-01) Ertem, Uğur; Özçakır, Sueheda; İrdesel, Fatma Jale; Günay, Selim Mahmut; ERTEM, UĞUR; ÖZÇAKIR, ŞÜHEDA; İRDESEL, FATMA JALE; Günay, Selim Mahmut; Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı; 0000-0003-2142-2264; 0000-0002-1456-9121; 0000-0002-7550-5244; AAD-2089-2021; JVA-8378-2023; DVJ-8547-2022; EZL-5296-2022Objectives: This study aimed to evaluate the quality and reliability of the most viewed YouTube videos on piriformis syndrome (PS) exercises and identify criteria that may be important for selecting high-quality and reliable videos. Materials and methods: We searched for the keywords "piriformis syndrome exercise," "piriformis syndrome rehabilitation," "piriformis syndrome physical therapy," and "piriformis syndrome physiotherapy" on November 28, 2021. The modified DISCERN (mDISCERN), and the Global Quality Score were used to evaluate the quality and reliability of the videos. Results: Of the 92 videos evaluated, most (58.7%) of the videos were shared by healthcare professionals. The median mDISCERN score was 3, and most of the videos were found to be medium or low quality. Videos with more subscribers (p=0.001), a shorter upload duration (p=0.001), videos uploaded by physicians (p=0.004), and videos uploaded by other healthcare professionals (p=0.001) were found to have high reliability. Conversely, videos uploaded by independent users were found to have low reliability (p<0.001). When the parameters of the videos were compared among the quality groups, significant differences were found in all video features (p<0.05), some upload sources (other healthcare professionals and independent users; p=0.001), and mDISCERN scores (p<0.001). Conclusion: It is beneficial for physicians and other health professionals to upload more videos about health to increase the amount of reliable and high-quality information.Publication Youtube as a source of information on piriformis syndrome exercises(Bayçınar Medikal Yayın, 2022-07-27) Ertem, Uğur; Özçakır, Şüheda; İrdesel, Fatma Jale; Günay, Selim Mahmut; ERTEM, UĞUR; ÖZÇAKIR, ŞÜHEDA; İRDESEL, FATMA JALE; Günay, Selim Mahmut; Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Bölümü; 0000-0003-2142-2264; 0000-0002-1456-9121; AAD-2089-2021; AAH-5375-2021; DVJ-8547-2022; JJQ-6978-2023Objectives: This study aimed to evaluate the quality and reliability of the most viewed YouTube videos on piriformis syndrome (PS) exercises and identify criteria that may be important for selecting high-quality and reliable videos. Materials and methods: We searched for the keywords "piriformis syndrome exercise," "piriformis syndrome rehabilitation," "piriformis syndrome physical therapy," and "piriformis syndrome physiotherapy" on November 28, 2021. The modified DISCERN (mDISCERN), and the Global Quality Score were used to evaluate the quality and reliability of the videos. Results: Of the 92 videos evaluated, most (58.7%) of the videos were shared by healthcare professionals. The median mDISCERN score was 3, and most of the videos were found to be medium or low quality. Videos with more subscribers (p=0.001), a shorter upload duration (p=0.001), videos uploaded by physicians (p=0.004), and videos uploaded by other healthcare professionals (p=0.001) were found to have high reliability. Conversely, videos uploaded by independent users were found to have low reliability (p<0.001). When the parameters of the videos were compared among the quality groups, significant differences were found in all video features (p<0.05), some upload sources (other healthcare professionals and independent users; p=0.001), and mDISCERN scores (p<0.001). Conclusion: It is beneficial for physicians and other health professionals to upload more videos about health to increase the amount of reliable and high-quality information.Publication Level of coronaphobia in older adult patients(Gunes Kitabevi Ltd Sti, 2022-01-01) ERTEM, UĞUR; İRDESEL, FATMA JALE; İrdesel, Jale; Göktaş, Nafiye; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; 0000-0003-2142-2264; AAD-2089-2021Introduction: Coronaphobia is defined as a specific phobia of the novel coronavirus in the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to evaluate the level of coronaphobia caused by the COVID-19 pandemic in older adult patients with musculoskeletal problems who visited an outpatient clinic and to compare the results with those of patients under 65 years of age. Our secondary aim was to determine whether the level of coronaphobia in older adult patients is related to their sociodemographic characteristics.Materials and Methods: This single-center, descriptive study was conducted between January 2022 and March 2022. A total of 100 patients who visited the physical therapy and rehabilitation outpatient clinic due to musculoskeletal problems were included in the study. The patients were divided into two groups. Group 1 (n=50; 39 females, 11 males) comprised patients aged >= 65 years. Group 2 (n=50; 36 females, 14 males) comprised patients aged <65 years. Sociodemographic data of the patients were recorded. All patients in both groups completed the COVID-19 Phobia Scale (C19P-S).Results: The C19P-S total score and the psychological, psychosomatic, social, and economic subscale scores were significantly higher in the older adult patient group than in the control group (p<0.001). Additionally, no significant relationship was found between the level of coronaphobia and sociodemographic characteristics in the older adult patient group (p>0.05).Conclusion: Our results showed that older adult patients had higher levels of coronaphobia. Early recognition of coronaphobia in older adult patients, and making interventions for its treatment are important.Publication Evaluation of health literacy level and related factors in older adult patients(Gunes Kitabevi, 2021-01-01) Ertem, Ugur; ERTEM, UĞUR; Irdesel, Jale; İRDESEL, FATMA JALE; Goktas, Nafiye; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; 0000-0003-2142-2264; AAD-2089-2021Introduction: Health literacy refers to the degree to which individuals have the capacity to obtain, process and understand basic health information and services. This study, aimed to determine the level of health literacy and the factors related health literacy in patients aged 65 years and over who applied to the outpatient clinic. Materials and Methods: This single-center, descriptive study was conducted between December 1, 2020, and April 31, 2021. A total of 98 patients aged 65 years and over who applied to the physical therapy and rehabilitation outpatient clinic due to musculoskeletal problems were included in the study. We assessed the patients' age, sex, education level, monthly income, marital status, and frequency of hospital admission in the last 3 months, determined patients health literacy levels, and examined the relationship between them. The Turkish Health Literacy Scale was used to evaluate patients health literacy. Results: The mean The Turkish Health Literacy Scale index score of the participants in the study was 27.92 +/- 7.53. The increase in health literacy level was statistically significant among the young aged, with high monthly income, and high education level (p 0.001). There was no statistically significant relationship between gender, marital status, frequency of admission to hospital in the last 3 months and health literacy (p 0.05). Conclusion: We determined that the level of health literacy was low in older adult patients. Informing these patients regarding this issue and improving their health literacy levels is important to ensure a more efficient use of health services.Publication Transient radial nerve paralysis after a lateral epicondylitis injection: A case-based review(Galenos Yayıncılık, 2021-08-01) Ertem, Uğur; İrdesel, Fatma Jale; ERTEM, UĞUR; İRDESEL, FATMA JALE; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Uluslararası Tıp ve Rehabilitasyon Anabilim Dalı; 0000-0003-2142-2264; 0000-0002-1456-9121; AAD-2089-2021; DVJ-8547-2022Lateral epicondylitis is a painful tendinosis of the lateral epicondyle of the humerus, which is the attachment site for the wrist extensor muscles and tendons. It is most commonly caused by repetitive gripping or wrist extension. Moreover, lateral epicondylitis is one of the most common causes of elbow flank pain in adults. While most patients respond to conservative treatment, surgical treatment is used in some patients. In this study, we reviewed the case of a 68-year-old man who presented to the clinic with elbow pain. In this patient with lateral epicondylitis, who had not responded to various conservative treatments, 0.5 cc prilocaine hydrochloride and 1 cc triamcinolone hexacetonide were injected in the left elbow lateral epicondyle tendon adhesion area. After the injection, the patient's second, third and fourth fingers dropped. Further, the patient was diagnosed with radial nerve paralysis, and his hand was properly splinted. After 72 hours, in the follow-up to reevaluate the patient's muscle strength, it was observed that the patient's complaints after the injection resolved. This review focuses on the treatment methods of lateral epicondylitis and on complications that occur after a lateral epicondyle injection in the context of a case of transient radial nerve paralysis after a very common type of injection.Publication Incorporating patient preferences into osteoarthritis treatment(Turkish League Against Rheumatism, 2021-12-01) Kutsal, Yeşim Gökçe; Eyigör, Sibel; Karahan, Sevilay; Günaydın, Rezzan; İrdesel, Jale; Sarıdoğan, Merih; Borman, Pınar; Sarı, Aylin; Gökkaya, Kutay Ordu; Safer, Vildan Binay; İRDESEL, FATMA JALE; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı.; 0000-0002-1456-9121; FAP-6320-2022Objectives: This study aims to identify the relationship between treatment modalities and the patients' preferences in osteoarthritis (OA) treatment and identify the related factors.Patients and methods: This multi-center, cross-sectional study included a total of 305 patients with OA (66 males, 239 females; mean age: 66.4 +/- 9.7 years; range, 38 to 90 years) between July 2019 and January 2020. Data including demographic and clinical characteristics of the patients were recorded using a structured questionnaire.Results: The mostly common involvement sites were knee joints, lumbar, and cervical regions, respectively. Prior to the study, the treatment modalities which were prescribed to patients were oral drugs (79.7%), topical drugs (73.8%), home-based exercise program (62.6%), and physical therapy (outpatient) (61.3%). Of the recommended remedy, 89.2% were prescribed by physiatrists, 24.6% by orthopedists, 5.6% by family practitioners, 2.6% by neurosurgeons, and 1.6% by algologists. The most beneficial treatments (to whom) were inpatient physical therapy program (47%), oral drugs (41%), home-based exercise programs (24.9%) according to patients' perspective. According to patient preferences, nearly half of the patients preferred outpatient physical therapy program (45.9%), oral drugs (33.1%), inpatient physical therapy (20%), and home-based exercises (18%). The most common reasons for their preferences were previous benefits from treatment (54.4%), long-term effects (38%), easy access to treatment (33.1%) and concerns about side effects (28.9%). The mostly common reasons for their preferences were previous benefits from the treatment (54.4%), long-term positive effects of physical therapy (38%), easy access to the treatment (33.1%) and concerns about side effects of drugs (28.9%).Conclusion: Besides medical regimen, the results of this study showed that the patients preferred outpatient and inpatient physical therapy modalities, and home-based exercises programs. In the light of these findings, initiation of a new prescription (e.g., drugs or physical therapy modalities) in OA patients, previous treatment modalities, and approaches are suggested to be carefully reviewed by the clinician to anticipate and improve the adherence behavior to the new treatment.